CONSULTATION FORM

Please fill out the following confidential consultation form below, so we can review your general health details and get back to you to identify the best course of treatment as per your beauty needs.

Based on the information you provide in your consultation form, we will help determine next steps. To reserve your day/time appointment slot please visit our 'Online Booking' page to make your booking after completing this form.

Kindly fill out your consult at least 48 hours ahead of your appointment.

First Name

Last Name

Location

Phone Number

How did you hear about us?

Were we referred to you by someone?

What service would you like to get done?

Microblading (Fine hair-like strokes to mimic eyebrow hair)

Microshading (Powder Brows/Ombre Power Brows: Powder Make-up effect)

Combo Brows (Combination of subtle hair strokes and powder effect)

Lip Micropigmentation

Scar or Stretch Mark Tattoo Camouflage

Body Contouring/Sculpting

Scalp Micropigmentation

Lash Extensions

If you selected 'Other', please let us know of any other health issue we need to be aware of:

Please list any medications your on:

Please ATTACH a clear close-up photo (taken in good-lighting) of the area that needs to be worked on; without ANY make-up or fillers

ATTACH CLOSE-UP PHOTO

Is there anything else you would like to add, in terms of your expectations regarding the requested service?

Signature

I hereby confirm all the information provided by me in this consulation form is accurate and true to the best of my knowledge.

What is the best way to contact you?

By email

By phone

THANK YOU FOR CONTACTING US

This is to confirm, your consultation form was successfully submitted.

We will review the information you have provide and get in touch with you shortly.Kind wishes,Alodie

Ageless Aesthetic Studio

CONSULTATION FORM

Based on the information you provide in your consultation form, we will help determine next steps. To reserve your day/time appointment slot please visit our 'Online Booking' page to make your booking after completing this form.

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Kindly fill out your consult at least 48 hours ahead of your appointment.